Provider Demographics
NPI:1336801745
Name:AMERICAN HOME HEALTH PROVIDERS, CORP
Entity Type:Organization
Organization Name:AMERICAN HOME HEALTH PROVIDERS, CORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:RUBEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALONSO SANTANA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:305-820-3001
Mailing Address - Street 1:3408 W 84TH ST STE 203
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33018-4942
Mailing Address - Country:US
Mailing Address - Phone:305-820-3001
Mailing Address - Fax:305-820-3005
Practice Address - Street 1:3408 W 84TH ST STE 203
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33018-4942
Practice Address - Country:US
Practice Address - Phone:305-820-3001
Practice Address - Fax:305-820-3005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-13
Last Update Date:2022-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Single Specialty
No251E00000XAgenciesHome HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL3500Medicaid